Clinical Experiences with the Rowe Procedure for Complete Dislocation of the Acromioclavicular Joint.

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Treatment of acromioclavicular dislocation is controversial. We treated 6 cases of complete acromioclavicular dislocation by the Rowe procedure. 5 cases were fresh ones and 1 case was chronic.The technige is as follows. A skin incision is made in line with the clavicle and the joint, directly down to the bone, turning back one layer of the trapezius and the deltoid, the periosteum and the capsule.Next, only 1cm of the clavicle should be removed. Care should be taken to rongeur off the superior cortex of the clavicle smoothly. Dislocation of the joint is reducted and a K-wire may be transfixed to it. Last, the repair is carried out by overlapping, in one layer, the periosteum, the capsule, and the muscle.As an aftertreatment, gentle motion is encouraged 1 week after the operation, the K-wire should be removed between 3-5 weeks. Work or sport may be possible by 5-8 weeks.The results of the treatment were evaluated by Kawabe's score. The 5 fresh cases were excellent and reduction of the dislocation were seen in their roentgenograms. The chronic case was fair because of mild pain, dullness and deformity.
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